JP2009064401A - Support system allowing home medical service - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To attain home medical services for persons who could not get their desires due to their single lives, aging of caregivers, and various family reasons. <P>SOLUTION: Doctors registered in a general infirmary on the Internet are connected with a visiting physician in a region. Internet conference including video is performed in a diagnosis and treatment department to determine a treatment schedule. A record for a contractant is stored in servers exclusive for image/sound and description in a medical chart station. The regional visiting physician directly performs medical treatment activity to the contractant based on the treatment schedule, and performs reporting of practice, recording of a medical chart, medication prescription, ordering of medical instruments, formation of a receipt or the like. A pharmaceutical department stores the rezept and performs insurance claim procedure, contractant procedure and the like through the Internet. A medical worker in charge of care of the contractant achieves a home medical service under the visiting doctor's instruction, and the family of the contractant can browse the medical chart at any time through the Internet. In information management, access is allowed by an individual confirmation means. A private power generator is set in a fixed section of the region to respond to service interruption or the like. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

Technical classification

The present invention is a system that provides a service that can be received with peace of mind by those who desire medical care at home and their families.

Conventionally, even if you wish to have home medical care, you have to enter a facility due to reasons for living alone or the burden of your family, or to change hospitals. Was not full of hope. Visiting nursing care and nursing care certification did not satisfy the person's wishes, and it was impossible to realize home medical care to watch 24 hours of life. Distant family members have no means of grasping their condition and continue to have anxiety, which is solved by the present invention.

There were many problems such as patients receiving unnecessary medical examinations at medical institutions, an increase in the burden of health insurance and nursing care insurance in the national and local governments, a lack of entrance facilities, and the hollowing out of local areas due to an increase in vacant homes. Even though there are many people who wish to have home medical care in their homes that have lived longer than anything else, and who are surrounded by acquaintances and want to have a dignified death, the hurdles were high to fulfill their wishes. If you are alone, your distant family will be uneasy, you will have regrets that you will not be able to see the end, and if you are hospitalized, your family will have a very different lifestyle. Therefore, crimes are also likely to increase. Medical disparities are serious, and it is desirable to receive the same medical treatment from anywhere. There are many doctors and nurses who do not work in hospitals because of advanced medical care, age restrictions, heavy duty and responsibility, and it is required to use these human resources. When doctors open, it is necessary to pay a large amount of money and it is difficult to be independent. This increases the number of doctors who rely on large hospitals, and this creates a medical gap in the region. Healthcare professionals need a lot of time to write in addition to their care time, and the burden is large. There are many people who are not satisfied with the nursing care insurance service, and hope cannot be found in the current state of life while feeling sad with the disease. The present invention enables desired home medical care.

Means for solving the problem

Create a general clinic on the Internet by registering doctors and divide it into a department, a medical department, and a medical record department. The clinic and the local registered physician are connected via a network, information is shared, and the physician visits the contractor directly. The department uses a camera to hold internet conferences including visiting physicians to determine the treatment policy of the contractor and provide guidance and evaluation. The visiting physician conducts medical activities according to the treatment policy and medical treatment plan, and enables a 24-hour home visit. In the general clinic on the Internet, a medical chart station consisting of two types of charts, video and sound charts and descriptions, is created and stored on a dedicated server. Under the consent, video / sound is also used as a recording style to replace the contractor's condition and description, reducing time and effort for care. In addition, since family members can view medical records on the Internet, they can easily grasp the state even from a distance, and can realize transparent and reliable medical care. In addition, we check access degree of family by counting access. The medical staff in charge of care for the contractor is engaged in medical practice under the direction of the visiting physician and records it in the medical record office. The medical department manages receipts based on the records sent by the visiting physician, and performs insurance claims and contractor procedures. All parties who share the contractor's information achieve high security by enabling access through identity verification means. In addition, in order to lose inoperable hours due to power outages, private generators will be installed in certain sections of the area to enable access even in the event of a disaster.

The invention's effect

Unlike conventional home-visit medical care, you can get the medical care you want anywhere in the country, and you can do home medical care even if you are alone. An embodiment of the present invention will be described.
(B) Create a general clinic with registered doctors on the Internet. The clinic and the local physician will determine the optimal treatment policy from multiple angles through an internet conference, and the physician will be able to visit the contractor 24 hours a day. The medical staff in charge of the contractor can perform medical practice, nursing, and nursing care under the direction of the visiting doctor, and no need to move to the hospital, reducing the burden on the contractor's body.
(B) A general medical department on the Internet will have a medical chart station, and will be stored in a dedicated server with the II structure of a medical record department and a description department that will be saved as video and sound. As a result, falsification of the chart can be prevented, remote families can view the chart at any time via the Internet, and the anxiety can be reduced. The chart based on video and sound can provide visual transparency and trust. You can also check the degree of approach to the contractor by counting the number of family records accessed. Recording by video / sound is performed with the consent of the contractor, but the medical staff can concentrate on the care without the trouble of writing the medical record. Related doctors can share information, avoid unnecessary payments for health insurance by avoiding duplicate medication prescriptions, medical treatments, tests, etc., and reduce the burden of insurance on national and local governments due to hospitalization and admission .
(C) Receipts are stored in the medical department file by the visiting physician, but can be viewed by all parties involved in the general clinic, so transparency is ensured and fraudulent claims are eliminated.
(D) Use of care insurance when necessary is minimized, but the burden on the national and local governments can be reduced.
(E) Specialization of home medical care enables short-term specialized education for each contractor, which makes it possible to hire out-of-work personnel, and engages in medical activities such as doctors, nurses, and care workers who are not active Employment is born.
(F) Since the visiting doctors can also specialize in this, expenses such as construction of a new hospital and capital investment are unnecessary, and it is possible to increase the number of visiting doctors. In addition, when the number of registered home doctors varies depending on the region, it is possible to make a home visit even in a remote location in a small number of registered regions by making a medical plan.
(G) Even if the visiting doctor is a contractor who has a non-specialized disease, a wide range of medical activities can be made available through conferences with registered doctors at general clinics on the Internet. .
(H) By increasing the number of contractors who wish to have home medical care, it will be possible to connect and revitalize the region, and to suppress the construction of new entrance facilities.
(I) By installing a private power generator for every certain section of the area, we will eliminate the inoperable time due to power outages.
(Nu) Above all, it can realize the contractor's wishes.

Patient A, who wishes to die at home, requested home medical care at the time of diagnosis with a life expectancy of one year, and offered a contract to a general clinic on the Internet. The medical department at the general clinic reports the application to the local doctor in charge over the Internet. The patient is visited and information on the medical condition is entered into the medical chart. The video and sound of the patient's voice are stored in the medical chart because there are tumors and folds due to cancer in the neck. Apply for an internet conference with a dermatologist, Paine specialist, etc. at a clinic. A video conference will be held by the doctor who received the request and the local doctor, and the treatment policy and treatment policy will be decided. The doctor will then treat the patient. The minutes of the conference are stored in a video / sound chart or a descriptive chart in the chart office. The visiting physician requests delivery of medications, care products and medical equipment necessary for the patient to each institution via the Internet. The state of the home visit and treatment is approved by the contractor, transmitted and stored in the video / sound chart, and distant family members view the chart on the Internet to reduce anxiety and gain transparency and trust. Although the patient is alone, a neighbor who has left the nursing position after retirement cares for 24 hours. Eliminate the burden of nursing by reducing the time and effort of writing medical records by using video and sound. The doctors of this general clinic, the visiting physician, and the nurse share all the information such as medical reports such as result reports, medication information, oxygen use, etc. via the Internet, and the cervical tumor treatment and pain control from the specialist Based on the guidance, you can see to the end at home. Because the family had access to the video charts every day, they could know and change the medical condition. Contractors and their families, attending physicians and attending nurses can achieve a high level of information security through access by means of identity verification. The Medical Affairs Division makes insurance claims to the relevant organizations every month based on the receipt storage from the visiting physician.

1 is an overall view of the present invention

Explanation of symbols

1 General Practice Department 2 Medical Affairs Section 3 Medical Record Bureau

Claims (1)

A general clinic on the Internet where medical institutions and doctors register will be created, and the department, medical department, and medical record department will be organized. It is the registered physician in the area that provides direct medical care to the contractor. Based on the status of the contractor who uses this system, the medical department decides on a treatment policy and the like through an internet conference with images by registered doctors and local doctors in charge. The contents are stored in a medical record station, and are stored in a dedicated server with an II structure of a video / sound medical record and a description medical chart. In addition to the state of the conference, the medical record station transmits and saves the state of medical examinations and treatments and the state of care, etc., via the video and sound with the consent of the contractor to the medical record station via the Internet, and saves the trouble of description Allocate that time. Medical records can be viewed by the family via the Internet, and transparency is obtained. Also, if you count the number of times your family has viewed, you can check the degree of approach to the contractor. The medical department stores receipts from visiting physicians, and performs insurance claims and contractor registration procedures. Information such as clinical departments, medical chart departments, and medical departments can be shared by registered doctors, registered doctors in the region, and health care workers who care for contractors, and can be guided and evaluated to prevent fraud. Those who share information are required to have a high level of security and can be accessed by means of identity identification. In addition, as a countermeasure against power outages, private generators will be installed in certain sections of the area, and the time during which medical treatment is not possible will be lost.

Images